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Peconic Properties Mgmnt (10)
•;, /tdii �� "0/i. ' yam' ,Aa `'� fid' JUDITH T. TERRY 4 Town Hall, 53095 Main Road TOWN CLERK P.O.P.O. Box 1179 REGISTRAR OF VITAL STATISTICS • Southold, New York 11971 MARRIAGE OFFICER '�® �• Fax (516) 765-1823 411® 47 Telephone (516) 765-1801 OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 878 R Residential X Non-Residential Fee $ 10.00 Septic Cesspool X PERMIT ISSUED TO: Name : PECONIC PROPERTIES MANAGEMENT Address 1 : P. O. BOX 1143 City St Zip CUTCHOGUE NY 11935 Descripton of Proposed Construction or Alteration NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES ON 6/2/92. Name Of Owner PECONIC PROPERTIES MANAGEMENT Mailing Address 1 P. O. BOX 1143 City St Zip CUTCHOGUE NY 11935 Property Address 1 SOUTHOLD VILLAS - LOT 9 APPLE COURT City St Zip SOUTHOLD NY 11971 Tax Map No. section 70.00 block 1 lot 6.000 Cross Street JASMINE LANE Building Permit Number Cross Reference: Issue Date: 7/20/92 Judith T. Terry Southold Town Clerk (TOWN SEAL) JUDITH T. TERRY Town Hall, 53095 Main Road TOWN CLERK i cD P.O. Box 1179 1Z:5 Southold, New York 11971 REGISTRAR OF VITAL STATISTICS r� � �� MARRIAGE OFFICER ''-n-.--..;.% - ''�. Fax (516) 765-1823 �y'�® �`t 40 Fax (516) 765-1801 _. ems ti�ra.�Ax>+=.u.wrn OFFICE OF THE TOWN CLERK FIS` 1 }, TOWN OF SOUTHOLD ;/, f pt1 \0 JUL 31992 t 0 TO: Southold Town Building Department Y-`�� --_=�°- -_ --- !„ -',-1 € FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: July 10, 1992 Transmitted herewith is a copy of application No. 902 for a Cesspool/ Septic Tank Construction Permit submitted by: Peconic Properties Management Co. Inc. Lot 9 Please review the application and location map and advise if the project has received Suffolk County Health Department approval and if this office may issue the permit. Please complete the form below and return it to me. Thank you. c. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE x DISAPPROVE Comments: szi,,, a.134.P4 ()._A �("— 1:rvl c::(4...V4..) L 1 • �l c V(g.... rA/Y? Signature 1 I \ok a... , Dated 9 e 0JFPICE•OF THE TOWN CLERK JudithTown of Southold own Clerk �� � `-0 Application No. 9\6 C�/ Terry, • Town Hall, 53095 Main Road o r` a '—� Construction P. 0. Box 1179 � ` Southold, New York 11971 O. Alteration Telephone sol 44.1, Residential (516) 765-1801 ,r�� Non-Residential TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL DISTRICT f' APPLICATION for CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee •$ DATEIUl1V / / 9p APPLICANT NAME: A�1.•at , / ,�j1 .7, 0 4 64,„„e_ , APPLICANT ADDRESS: p.O. Art/ /1 2 //93 , SEPTIC / CESSPOOL DESC,RI,PPTIION OF PROPOSED CONSTRUCTION OR ALTERATION / frki,a,,t_ l ../' I d- LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTUCTION O: ALTERATION: OWNER OF PROPERTY: /�//",, �y �� p j� e% (» 04,6_, OWNER MAILING ADDRESS: `•/ • • ,_ // 935' OWNER PROPERTY ADDRESS: , % /0/ 0,M4 ts_ert.6zes TELEPHONE NUMBER OF CONTACT PERSON: TAX MAP NO. : Section '7'6 Block l Lot • CROSS STREET: ", �� j / tet BUILDING PERMIT NUMBER ROSS REFERENCE:. ,Q©y79a ., 90 './//a,ekti aff't • Signature of Applicant RECEIVED BY: Town Clerk's Office DATE: , 7 4 • f �, • • �O r 2 el Q V 06 �� Q�C.) � N Q • V 00� 9s A/\ �tA N 02 4 ® • e a2 VQ• , Shy+ i, , y ‹rs. _ so. �� Fes. rope 41 o- • 0 `'F. Q by �Q� �y zs 3� i • S ei — 6\ 2b� V`S 5^,1n O i. P 6, ‘7%, ,R1R,N.4)%6,/ - god ¢,.e. Lv ci 0 \ "` y•). e . h0 oV r, SP a v V • S ��O' v JASM/A/ LANEQQ Q' SI LESill�l Y DWELLI NG.ONLY EXPIRES 3'!. YEARS FROM DATE OF-APPROVAL A = 10,74scgft. K1'4oi 6i4 to % % , &-a ) • tap /y3 . • SURVEY OF rry�s— LOT 9 "MAP OF SOUTHOLD VILLAS" Prepared In accordance w/Jh the minimum Fll ED MAP NO slandards for 1/l/e surveys as established AT SOUTHOLD by the L./.A.L.S and approved and adopted TOWN OF SOUTHOLD for such use by The New York sae Land SUFFOLK COUNTY, NY. Tll/e Association. PLEASE NOTE 1000-70-01-P10 06 The water supply and sewage disposal Sanitar SySj systems for this residence will conform , ,7Ct t0 be �� to the slandards of The Suffolk County placed Linder drivew„y area. Scale: 1 = 30 Deipa menJ o1 Health Services. / March 11, 18.92 07,64.14/�?../L4 �.ea./ The locations of wells and cesspools shown hereon-are from eld observations and or from data obtained from others. rEgpirz3 y,-,0,---fi.v..- „..i-r-,-;--,) SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES 14•49'.a .' . •+ ,-..---'7•'•- , • FOR APPROVAL OF CONSTRUCTION ONLY RAY 28 ' f ,,n'�+- 1992 \�:IV.Y.S. LIC. NO. 49618 DATE JUN 0 219-Sis. 6 . Sal, 6* r /� i. R F. NO. �+ ;E SONIC URV&YQRS, P.C. -S.C. DEPT 01. 15161,765'= 5D20'j II HEALTH SERVICES P.'".0:-.410.P.6:9105!..” APPROVED ! i�/1 SOUTHQt Ljr= Y. 1197/ V } 87-670 (9)